| Grady Health System | |
|
80 Jesse Hill Jr Dr Se Atlanta GA 30303-3031 | |
| (404) 616-3678 | |
| Not Available |
| Full Name | Grady Health System |
|---|---|
| Speciality | Clinic/center |
| Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
| Authorized Official Name and Position | Petra Sealy (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 7703233566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grady Health System 6805 Treehills Pkwy Stone Mountain GA 30088-4606 Ph: () - | Grady Health System 80 Jesse Hill Jr Dr Se Atlanta GA 30303-3031 Ph: (404) 616-3678 |
| NPI Number | 1366400723 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366400723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 003806 (Georgia) | Primary |
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